| NPI | 1154888634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA B JOHNSON Executive Director 810-985-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2025-06-12 |